Department of Public Health, Brody School of Medicine, East Carolina University, 600 Moye Boulevard, Greenville, NC 27834. Email:
East Carolina University, Greenville, North Carolina.
Prev Chronic Dis. 2018 Mar 22;15:E35. doi: 10.5888/pcd15.170316.
This analysis assessed trends in measures of diabetes preventive care overall and by race/ethnicity and socioeconomic status in the North Carolina Behavioral Risk Factor Surveillance System (2000-2015). We found increasing trends in 5 measures: diabetes self-management education (DSME), daily blood glucose self-monitoring, hemoglobin A tests, foot examinations, and flu shots. Non-Hispanic black and non-Hispanic white respondents showed increases in blood glucose self-monitoring, and a significant time-by-race interaction was observed for annual flu shots. Predisposing, enabling, and need factors were significantly associated with most measures. DSME was positively associated with 7 measures. Expanding access to health insurance and health care providers is key to improving diabetes management, with DSME being the gateway to optimal care.
本分析评估了北卡罗来纳州行为风险因素监测系统（2000-2015 年）中总体以及按种族/族裔和社会经济地位划分的糖尿病预防保健措施的趋势。我们发现 5 项措施呈上升趋势：糖尿病自我管理教育（DSME）、每日血糖自我监测、血红蛋白 A 测试、足部检查和流感疫苗接种。非西班牙裔黑人和非西班牙裔白人受访者的血糖自我监测有所增加，并且年度流感疫苗接种的时间与种族存在显著交互作用。倾向因素、促成因素和需求因素与大多数措施显著相关。DSME 与 7 项措施呈正相关。扩大获得医疗保险和医疗保健提供者的机会是改善糖尿病管理的关键，而 DSME 是获得最佳护理的途径。
